Adam J. Falcone

Adam Falcone is a partner in the health law, non-profit and corporate law, and federal grants law practice groups. Mr. Falcone assists health care providers, provider networks, and managed care organizations with regulatory, transactional, and compliance matters. In addition, Mr. Falcone advises non-profit charitable organizations,trade, and professional associations on incorporation, tax-exemption, and antitrust matters.

In his health care practice, Mr. Falcone counsels publicly-funded health care entities such as community health centers, Medicare and Medicaid HMOs, and PACE organizations on contracting, regulatory compliance, fraud and abuse, and reimbursement matters. He provides specialized guidance on the complex interaction between federal programs created under the Public Health Service Act (e.g., Federally Qualified Health Center and 340B Drug Discount Programs) and the Medicare and Medicaid health insurance programs created under the Social Security Act.

Mr. Falcone also advises clients on tax and antitrust issues related to corporate transactions; including mergers & acquisitions, affiliations, and joint ventures. Additionally, he represents clients in rule-making proceedings before the Centers for Medicare and Medicaid Services, the Office of Inspector General, and the Health Services and Resources Administration.

Prior to joining the law firm, Mr. Falcone served as Program and Policy Counsel at the Alliance of Community Health Plans, a national association of non-profit and provider-owned health plans. In that capacity, he provided advice on legislative and regulatory matters and represented the Alliance before the Congress and Executive Branch.

Mr. Falcone began his legal career as a trial attorney in the Antitrust Division's Health Care Task Force at the U.S. Department of Justice. In that position, he led and participated in civil antitrust investigations and litigation of anticompetitive activity by physicians, health plans, and other entities.